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21028 80TH AVE W
APPLICATION
for
tn: SEDE SEWER PER=
The City of Edmonds E' FILE
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OWNER.... 6.DH .. ... ......................................
HOUSE No . ..... ------ ��n/ ................ �5) ---------------------------
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APPROVED
AUG 11 1965
YCARD No . .............................
EASEMENT No . .......................................
A�
............. CONTRACTOR ---- ...... I . ........ 0 ... PERMIT No.
STREET
........... AVENUE LOT No . ...................................................................... 13LOCK No.
...............
NAME ADD . ......
............. ..... ....... !7 ................................................
kc , e� 0 - / t", (- 1- 1 &6 Al & ,, 0
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSITO $ ---------------------------------------------
SEWER WORK ORDER ISSUED .......................................... DATE .......... By
tl-%r---'P-."ET FILE
C I T Y., 0 F E D M 0 N D S
S E P T I C T A N K APPROVAL
M
--i
TO WHMM IT MAY CONCERN:
This is to certify that the septic tank— for
Ac
r
has been inspected and are according to City of Edmonds standards
DATE:-- '�Z771
Inspected by:
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City. of Edmonds does not warrant the
accuracy of anything set for ' th on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
-map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emplo-yee-s or officers, shall be Ha-b-I-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
C, CITY OF EDMONDS Coil pRogpeet 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No inspec-
tions Saturday, Sunday or hOti"".) N2 1273
SIDE SEWER. PERMIT
-m e..S.outh .......................................................................................
ADDRESS................................................ ... 39.0 ... !r�..21st..A. nu
e.t.ter.-Plumbing --- & --- S.eWe-r ... C-0XLS-t -
OWNER ........... - --------------------- Phillip ---- Gibersm ................ CONTRACTOR-B
Perntission is granted -August-11 -- - --------------- v ig.6.5-., for ...................... days, t;o REPAIR or CONNECT a side sewer
with City Sewers in accordance,with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain a permit to construct sewer inside property line. A licensed Side sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion Of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.OW and Regulations governing side sewers when you get permit.
grade of 2
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches Inside property line; minimum
No bends in grade sharper than 'A will be permitted. s nsible for
Z No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be re po
failure due to Improper work which may develop within one year of completion.
NOTE No. 5--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its aP-
purLenances except to insert the pipe into the wye.